Anesthetic considerations for extracranial injuries in patients with associated brain trauma

Khandelwal, Ankur; Bithal, Parmod K.; Rath, Girija Prasad

doi:10.4103/joacp.joacp_278_18

Cited by 8 publications

(3 citation statements)

References 90 publications

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“…The goals of anesthesia, that is, optimization of cerebral perfusion pressure (CPP) and prevention of secondary brain injury, were achieved. Anesthesia management was similar to that described by Parua et al, 2 Dalal and Vijayan, 3 Awori et al, 4 Khandelwal et al, 10 and Mbengono et al, 11 at par with the latest brain trauma foundation guidelines.…”

Section: Discussionmentioning

confidence: 69%

Anesthesia Management of a Patient with Penetrating Brain Injury with a Knife into the Occipital Region

Patil,

Devani,

Lemle

2024

J Neuroanaesth Crit Care

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Penetrating brain injuries are rare events in modern times. In this article we present the case of an adolescent with a knife, lodged in the occipital region needing surgical care. The patient was conscious, cooperative, and vitally stable with a Glasgow coma scale (GCS) of 15/15 with no lateralizing signs. Computed tomography (CT) scan of the brain demonstrated the knife blade in the suboccipital bone with suspicious injury to the right transverse sinus. General anesthesia was provided and airway secured in a lateral position using a video laryngoscope. Surgery was performed in the prone position using the Mayfield head holder. All measures to prevent secondary brain injury were taken. The patient remained vitally stable during surgery and could be extubated after surgery. Planning and preparation are vital for the smooth conduct of the case.

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Section: Discussionmentioning

confidence: 69%

Anesthesia Management of a Patient with Penetrating Brain Injury with a Knife into the Occipital Region

Patil,

Devani,

Lemle

2024

J Neuroanaesth Crit Care

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“…Hypoxemia (generally defined as PaO 2 < 60 mmHg) is a major factor in the development of secondary brain injury and should be avoided [ 4 , 42 ]. Despite the evidence being insufficient to conclude whether it affects clinical outcomes, hyperoxia after TBI has been suggested to be associated with higher mortality [ 43 ].…”

Section: Intraoperative Managementmentioning

confidence: 99%

Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery

Kim

2023

Anesth Pain Med

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This article describes the anesthetic management of patients with traumatic brain injury (TBI) undergoing non-neurosurgery, primarily targeting intraoperative management for multiple-trauma surgery. The aim of this review is to promote the best clinical practice for patients with TBI in order to prevent secondary brain injury. Based on the current clinical guidelines and evidence, anesthetic selection and administration; maintenance of optimal cerebral perfusion pressure, oxygenation and ventilation; coagulation monitoring; glucose control; and temperature management are addressed. Neurological recovery, which is critical for improving the patient’s quality of life, is most important; therefore, future research needs to be focused on this aspect.

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“…Succinylcholine and rocuronium are common neuromuscular blockers; succinylcholine's ICP increase is no longer significant, offering rapid onset and shorter duration, facilitating quicker neurological evaluation. Rocuronium, ideal in hyperkalemia risk, has no known ICP effects[26].…”

mentioning

confidence: 99%

A Panoramic View of Airway Management in Emergency Medicine

Dhir,

Jain

2023

Airway Management in Emergency Medicine

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Airway management is a fundamental skill for emergency medical professionals like paramedics, EMTs, and emergency physicians. It involves quickly evaluating and addressing airway obstructions or breathing difficulties, often in high-stress, life-threatening situations. Proficiency requires a deep understanding of airway anatomy, physiology, and interventions, along with adaptability and rapid decision-making. This chapter summarizes evidence on key aspects, including assessing difficult airways, positioning, oxygenation, intubation methods, medications, devices, and rescue strategies, across various patient groups. Effective airway management is crucial for enhancing patient outcomes and reducing mortality in emergencies.

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Anesthetic considerations for extracranial injuries in patients with associated brain trauma

Cited by 8 publications

References 90 publications

Anesthesia Management of a Patient with Penetrating Brain Injury with a Knife into the Occipital Region

Anesthesia Management of a Patient with Penetrating Brain Injury with a Knife into the Occipital Region

Anesthetic management of the traumatic brain injury patients undergoing non-neurosurgery

A Panoramic View of Airway Management in Emergency Medicine

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